Individual
CHRISTIANE DIECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7550 FUTURES DR STE 105, ORLANDO, FL 32819-9096
(407) 730-7983
Mailing address
1112 CHEYENNE DR, INDIAN HARBOUR BEACH, FL 32937-4168
(321) 205-4182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IHM12064
FL
Other
Enumeration date
06/25/2014
Last updated
08/27/2016
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